Dr Clark A Dixon, DMD is a medicare enrolled "Dentist" provider in West Frankfort, Illinois. His current practice location is
601 W Main St, West Frankfort, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 937-1411.
Dr Clark A Dixon is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376693382.
Healthcare Provider's Profile
Full Name | Dr Clark A Dixon |
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Gender | Male |
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Speciality | Dentist |
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Location | 601 W Main St, West Frankfort, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376693382
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4385946649
- Enrollment ID: I20160105000611
Medical Identifiers
Medical identifiers for Dr Clark A Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376693382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clark A Dixon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Clark A Dixon, DMD 601 W Main St, West Frankfort, IL 62896-2232 Ph: (618) 937-1411 | Dr Clark A Dixon, DMD 601 W Main St, West Frankfort, IL 62896-2232 Ph: (618) 937-1411 |
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